Individual provider Active NPI

Vivek Mallampalli, OD

  • Optometrist
  • Newton, MA
National Provider Identifier
1629636550
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5367 Issued in MA
Practice address
33 Lincoln St
Newton, MA 02461-1526
Phone
(617) 332-2023
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5367 MA Primary

Addresses

Primary practice location

33 Lincoln St
Newton, MA 02461-1526

Mailing address

33 Lincoln St
Newton, MA 02461-1526
Phone (617) 332-2023

Other practice location 1

27 Memorial Pkwy
Randolph, MA 02368-4539
Phone (781) 986-7400

Other practice location 2

1 Highland Ave # 3B
Malden, MA 02148-6603
Phone (781) 321-9039

Other practice location 3

615 Centre St
Jamaica Plain, MA 02130-2537
Phone (617) 983-3937

Other practice location 4

12 Eliot St
Cambridge, MA 02138-5824
Phone (617) 354-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191029002526 MA Practitioner - Optometry 8820320567 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5367MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Sep 3, 2019 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Sep 3, 2019 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Aug 10, 2020 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Aeg Massachusetts Professional PC Optometrist CurrentSince Mar 21, 2025 Accepting new patients
David M Luria OD PC Optometrist CurrentSince May 11, 2021 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Aug 10, 2020 Accepting new patients
Health Vision and Beauty Inc Optometrist PastSince Oct 1, 2014 Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481

12 Eliot St
Cambridge, MA 02138
Phone (617) 354-3303

615 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-3937

1 Highland Ave
#3B
Malden, MA 02148
Phone (781) 321-9039

27 Memorial Pkwy
Randolph, MA 02368
Phone (617) 986-7400

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1629636550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LINCOLN ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611526",
            "telephone_number": "617-332-2023",
            "fax_number": "617-332-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LINCOLN ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611526",
            "telephone_number": "617-332-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Memorial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023684539",
            "country_code": "US",
            "telephone_number": "781-986-7400",
            "fax_number": "781-986-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Highland Ave # 3B",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021486603",
            "country_code": "US",
            "telephone_number": "781-321-9039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Centre St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021302537",
            "country_code": "US",
            "telephone_number": "617-983-3937",
            "fax_number": "617-983-3938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Eliot St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021385824",
            "country_code": "US",
            "telephone_number": "617-354-3303",
            "fax_number": "617-983-3938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLAMPALLI",
        "first_name": "VIVEK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.